Individual
JOESEPH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
4301 S PINE ST, SUITE 112, TACOMA, WA 98409-7264
(253) 471-0890
(253) 471-0891
Mailing address
PO BOX 111297, TACOMA, WA 98411-1297
(253) 471-0890
(253) 471-0891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60306506
WA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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